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Mohammed Partovi
~~ SOURCE OF INCOME STATEMENT Please Print or Typc First Name Middle Name/Initial Last Name Name: n,. Disclosure for Tax Year Ending: r ' i !' . rr,, Mail(ing A~dre33: . ~'~. -r`- .,., City/StatelZip - • _ N ,, .. ., _, Social Security Number: ~ -~ , ~ _ _;,. - ~ _-.. Filing as a: r County Employee ~_ ~..=~ ) ... f` Municipal Employee of: ~ ~ - .. C Position held or sought/ Tcrm or Board where serving: r ,~ ' F ~ y,~ - - , L3mptoynnent ~ •. ' a began on: - - Department where employed: '~,~ ~~ `~~~~,y ~ ~, ~ ~ ., ~-~ ' r A Work Address: ~ :, _ I. T ~ ~ ~ ,~ ,, _ v ~- ~YI If your home address is exempt from public records pursuant to r Florida Statutes 119.07 please check here (read instructions): f I Work Telephone: ~- ~ ~ .f_ .. ..- = -? Home Address: ''~ ~,- STREET ADDRESS CITY ~ STATE 7.[1' CODF. Please list below in descending order with the largest source first, the name, address and principal business activity of every source of your income including public salary you received or any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here: r `'~ DESCRIl'TION OF THE NAME OF SOURCE OF IlVCOME ADDRESS PRINCIPAL BUSINESS ACTIVITY ~ ~;.: ~~ F-~. _ ~ ~~ pp . . ' t'" ~~. ~.: ~. . ~- :r-rr } J^±; ,~ Lam` Q ~ ~'~@~*~ R ~1. ~-. ._ __ ,' , , - ,' ~ _ I hereby swear (or afFirm) that the aforesaid information is a true and correct statement. ' r ,;" t SIGNATURE OIt~ PERSON DLSCIAS1IVG DATE SIGNED ,...,,~ SOURCE OF INCOME STATEMENT Please Print or Type Name: Mailing Address: ctyistate/zip First Name Middle Name/Initial Last Name Mo1~,m Q~ (~ ~RR1r~~t \©-}~ Nw 185 ~Alvg `Qevnbto x~ ~i,~g ~- 3 3 o2`j Disdoanre for Ta: Year Ending: Z0O3 Social Security Number: O Ze) _ (O'~ _ C15'~ Filing as a: r Cotmty Employee Municipal Employee of: ~~ o -=a w ~ ~` '= rn x ~ cart (T7 v, 3 o ITl -rt (~ f~'1 Position held or sought/ /'" ~ Term or Board where serving: ~l,pJ_ ~ ~p J~yf~t/ '( letv>•1~tr cirti,i n l~ptoyment ~ /7 1 1 q °I (J {~ ~ began on: 1~ 1-.--r--- Department where employed: [~ t/ 1 ~ a ~ vl d Work Address: l ~- D G (' !`i11 '1~ if your home address is exempt from public records pursuant to~,/ /'~ Florida Statutes 119.07 please check here (read instructions): ~ Work Telephone: ~OS) ~j-1~G6 'X' ~'~ Home Address: 1 D`} ~ nl w IP~S f~+'~e STREET ADDRESS ~~ fr~Ka ~~ `~ GZ CCTY ~ STATE CODE Please list below in descending order with the lazgest source first, the name, address and prindpal business activity of every source of your income including public salary you received or any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If rnntinued on a separate sheet, check here: r: NAME OF SOURCE OF INCOME ADDRESS DESCRiPTZON OF THE PRINCIPAL BUSIIVESS AC11VP11' ~nSC , ~'c~ ~,\,aa •, 8323 ~vW 12 `M1Arv~ S tJC~= P1a>tig f fv1e,,J c, ~ ~ ~ v, ~•~ X90 ~• rtv~N~~•,~~ S'~rfG~- $1uri4r-ev .~t,/ ~vw r` ekaa ~ ~ Fa ~„ ~ \ 33'l l ~ / J~~ a n ,~ ~~ e I hereby sweaz (or affirm) t the aforesaid information is a true and correct statement. ~ 2 0 3GNATURE DZSQAe~VG DA'!E ClTy CI.FRK'S DF~'• .. ~ ~~ .. Please Print or Type Firsl Name: Mailing Address: City/State/Zip: Social Security Number: Q-~ S- 5 2 -~ 5 tvwyl o ~J3~kCr~,i / Filing as a. ^ County Employee: ~ tT'.1 G'{' N~dt ~ ~~ 1r711 ~`1j-~- Municipal Employee of: C i ~'~ ~ ~ 7~n1 A Nn1 RltlC LI Position held or sought: ~~.fyc1-v{r„L ~~rgrC ~,d~rn~r~~' Board where serving: ?~ Term or Employment '~ Began on: Department where employed: '[~y(> > 1 a ~ h ~ r~,., Work Address: / L~-dU COf11~Qv1`~.y7 (~.Qy1 1~'/ nf'~ r\~11R'v11 j~-c~~~-~ If your home address is exempt from public records pursuant to ~j • S l /'.~ ~ , J~0 v Florida Statutes § 119.07 please check here (read Instructions): ~ Work Telephone. X' / b~ to}~ nrw j~5 ~e-ve 'fib Home Address: Street Address ~~ y~n'141~1'~ ~ Y~Q_T_ ~ .?~•hU 2~ City State Zip Code Please list below in descending order with the largest source first, the name, address and principal business activity of every source of your income including public salary you received or any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check Mere: ~ , • Name of Source of Income Address Description of the Principal Business Activi C T V M\ rni 132~C ao~ cc,nV~'N'1-w>, Czv, r' Vi~W an' RS CiJA @t^~us~ SS°C Nw ~ 2 .U. a m ~ honne S`~'. L.\ o- . ew V~\'\4 b n~lr yJ ~ C~v1 aW r m eiC. O h'L. v~ 1fl S W ~ q v~. Oh r )nf '22 u e M < Ot\~ Slo C7 on n tMt w..l ~e _hY~.v1r~ d I hereby swear (or a rm) that the aforesaid information is a true and correct statement. Q ~ 1~~~G ~-- . . Signature of person isciosing Date signed ME STATEMENT ~. 20043131 2/2 MOHAMMAD R PARTOVI STRUCTURAL PLANS PROCESSOR 1071 N.W. 185 AVE. PEMBROKE PINES, FL 33029 ~~ _„ Disclosure For Tax Year Ending: ~(5v C N1 Please Print or Name: Mailing Addre City/State/Zip Discbsure For Tax Year Ending: ZoO /~ Sodal Security Number: ~ ZS - ~ 2- 9 ~ 1 Fliing as a: D County Employee: ~Munlcipai Employee Of: C, 1 ~~ ~rY~ YV~ ~ r ~~ Position held or sought_C ~ t e ~ S ~t ~ C. ~'~ / ~ ~T nnv~ S '~~m~~e / Board where serving: Term or Employment Began on: g I I 5 Department where employed: ~ u ~, a n ti q work Address: l ~ U CCn V~ an S~ e r~ ~ n 1'f ~ ~ • ~ ~'~.~ ~-~ ~^ N your home addreo Is exempt from publk rocords purwant to 3 ~\ ~ Florhia statutes § 119.07 pkaw check here (road irotructlorrc): ~ Work Telephone:~3oS) (°,~,g o Home Address: )o ~-) JV W ) d`' S i}Y~. x 6}b ~- ~cwt~lupl~_~lril~ ~ 42,0_ City State Zip Code Please list bebw in descending order with the largest source first, the name, address and principal business activity of every source of your income including publk salary you received or any person received for your benefit or use during the disdosure period. The Income of your spouse or any business partner need not be disclosed. If continued on a -- o separate sheet, chedt here: ~ =.s cn Name of Source of Income Address Descriptloeof the Pr~aci Business <--~ Ci o N.MtA ~ u 6 1L5' w i n / c~ v , c c ~ w lq„ g w I hereby swear (o fflrm) that the aforesaid information is a true and wrrect statement. ~ 2 0~ Signature of pe n disclosing Date signed I'~1 ~~ iii "-~ ;.t'i 1 MIAMFDADE UT) €k~91f~~Of~' l:ii ~; ~~ ~~ SOURCE OF INCOME STATEMENT ~ _ _, Please Print or Type First Name_ Middle Name/Initial Last Name Disclosure MM ` ~ p ~~y ~ For Tax Year Name: if l Y1 ~YI'YIq 1 1T Ending: 2~G Mailing Address: ~ ~ L City/State/Zip: ~ e P)nc S ~ L 336^2 `1 Social Security Number: O2'~ "_ Cj 2 l 5 ~ T Filing as a: ® County Employee: n Municipal Employee of: C`'l1~`~ ~ ~ 1/~ n~_~c ~r Position held or sought: C~le~. S~fiPtJC f/fol~ ~~f~$ e-x~t~^'~~~e~ Board where serving: Term or Employ e t Began on: _`~ ~ ~ 1 ~L~, Department where employed: (Ji 1 tt `i-+-~--~- I Work Address: t ~CL6~ Cd111/9'V1 S1G/1 ~ r.~ ~ ~m/,~ If your home address is exempt from public rewrds pursuant to 1 T- ~~~ Florida Statutes § 119.07 please check here (read1innstructions)~: p,!'~ Work Telephone: (~Qr1~oGG Home Address: l~ T ~ N ~ l~Cl S .R'v ~- x ~~ ~ Street Address FLT tlJl'bf D ~-f ~1 Y1Q.~ ~' ~ d 2 City State Zip Code Please list below in descending order with the largest source first, the name, address and principal business activity of every source of your income including public salary you received or any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here: 0 L I hereby swear (or a Ism) that the aforesaid information is a true and correct statement. / 5 25 ~'o(~ Signature of perso isclosing Date signe C7 N O "i®~ SOURCE OF INCOME STATEMENT Please Print or Type Name: Mailing Address: City/State/tip: First name 2 m N '~ ^' N ~F) ~SCI~n ¢` Por Tilt Y ~tdi~: 20 06 Social Security Number: 0 Z~-=~Z IS~'1 Filing as a: ® County Employee: ~ Municipal Employee of: C 1 j~j/~y~-1v~n~ ~i~^~ Position held or sought: C ~,~~ f " l~ \ an S ~~m 1 ~„ ~ ~ Board where serving: Term or Employm t q Began on: -- ~ Q Department where employed: 1 - h I ,n 1~ Work Address: \~-~/(7 ~O)hV?r ~c-Y1 ('~r1~('~ YV11 " 1~~n If your home address is exempt from public records pursuant to ` 3 q Florida Statutes § 119.07 please check here (read instructions): ~ Work Telephone: C~ 6 Home Address: ~~1 N Ly ~ 8 ~ ~!`1P-e ~ 6~6~ Street Address ~~.w~b cd ~- ~r~ ~ '.~2°i City State Zip Code Please list below in descending order with the largest source first, the name, address and principal business activity of every source of your income ipcluding public salary you received or any person received for your benefit or use during the disclosure period. The income of your spouse or any business partner need not be disclosed. If continued on a separate sheet, check here: Name of Source of Income Address Description of the Principal Business Activi a M ' °~ l7 CO to ley h / V £uJ Ad I C~ ~ w.' N'6 1 ! / / / // ~ o a ~M a/ ~ /~ ~h . / / / I hereby swear (or )that the aforesaid information is a true and rrect statement. 6,a Signature of oers disc osing ~~ Da sighed l~